Individual provider Active NPI

Ruth Bibeau, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1851983704
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
904420 Issued in MS
Practice address
777 Holly Hill Dr
Tupelo, MS 38801-2340
Phone
(662) 432-1221
Fax
(888) 836-0702
NPI assigned
Feb 10, 2021
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 904420 MS Primary

Addresses

Primary practice location

777 Holly Hill Dr
Tupelo, MS 38801-2340

Mailing address

777 Holly Hill Dr
Tupelo, MS 38801-2340
Phone (662) 432-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427001555 MS Practitioner - Nurse Practitioner 9931517232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RH Arise Venture of Tupelo LLCGroup PAC ID 2567840309, 8 clinicians

Practice addresses (Care Compare)

777 Holly Hill Dr
Tupelo, MS 38801-2340
Phone (662) 432-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904420MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH Arise Venture of Tupelo LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Precise Clinical Neuroscience Specialists Single Specialty CurrentSince Feb 25, 2026 Accepting new patients
Right Track Medical Group, Inc Single Specialty CurrentSince Mar 1, 2021 Accepting new patients

Locations

207 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-8789

1203 Medical Park Dr
Oxford, MS 38655
Phone (662) 513-4399

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

4428 S Eason Blvd
Tupelo, MS 38801
Phone (601) 844-5080

777 Holly Hill Dr
Tupelo, MS 38801
Phone (662) 432-1221

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851983704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HOLLY HILL DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388012340",
            "telephone_number": "662-432-1221",
            "fax_number": "888-836-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOLLY HILL DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388012340",
            "telephone_number": "662-432-1221",
            "fax_number": "888-836-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBEAU",
        "first_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.